AMR Surveillance Program. Led at WRAIR-Africa by Dr. Lilian Musila, the purpose of this project is to conduct surveillance on bacterial pathogens that are healthcare-associated and covers ESKAPE-E pathogens and Candida species. This research project is a collaboration with the Multidrug Resistant Organism Repository and Surveillance Network (MRSN) at WRAIR headquarters.

Sexually Transmitted Infection (STI) Pathogen Surveillance and Drug Resistance Evaluation. Led at WRAIR-Africa by Dr. Lilian Musila, the purpose of this project is to define the burdens, drug resistance, and risks of acquiring priority STIs such as Neisseria gonorrhea, Mycoplasma genitalium and Trichomonas pallidum (syphilis) in asymptomatic and symptomatic individuals. This research project is a collaboration with MUWRP.

Bacterial Genomics and Bioinformatics Program. Led by Dr. John Waitumbi and Dr. Lilian Musila, the purpose of this project is to enable real-time reporting of known and emerging strain type, antimicrobial resistance and virulence genes.

Diarrheal Diseases (Enterics) Program. Led by Elizabeth Odundo, the purpose of this project is to define the pathogens that cause diarrheal disease (Cryptosporidium, Giardia, Enteropathogenic E. coli, Norovirus and Cholera) in children and among deployed military members and expatriates in Kenya.

MHK Bacteriophage Research Project. Led at WRAIR-Africa by Elizabeth Odundo, the purpose of this project is to screen for therapeutic phages against target ESKAPE-E pathogens as an adjunct or alternative to antibiotic therapy. This research project is a collaboration with MHK.

Surveillance Activities in Support of Justified Accord and African Lion (AFRICOM). Led at WRAIR-Africa by MAJ John Eads, the purpose of this project is to provide surveillance, mitigate environmental health risks, and enhance force health protection through field surveillance support, with operational support and testing provided by the AMR, Enterics, Febrile Illness, and Vector Surveillance projects.

Vector Surveillance and Insecticide Susceptibilities. Led by Dr. Joel Lutomiah, the purpose of this research project is to assess the presence of infectious agents carried in the 
insect populations with a human and zoonotic impact; also, to determine the efficacy of insecticides on certain insect populations of relevance to U.S. military and partner organizations.

Malaria Drug Resistance. Led by Dr. Hosea Akala, the purpose of this project is to assess the susceptibility and ongoing resistance development of malaria strains in Kenya and the surrounding areas to standard malaria prophylaxis and clinical treatment.

Febrile and Respiratory Illness. Led by Dr. Waitumbi and Dr. Beth Mutai, the purpose of this project is to perform environmental surveillance for pathogens, utilizing genetic testing methods to identify their presence and virulence, informing the force health protection of U.S. and partner forces in the area, while supporting the public health of Kenya at large by performing confirmatory testing for public organizations, as requested.

Makerere University Walter Reed Program, Emerging Infectious Diseases: Led by Dr. Fred Wabwire Mangen and Dr. Denis Byarugaba, MUWRP has been the prime partner for US Military health research and surveillance programs in Uganda for over 25 years. The current biosurveillance portfolio includes febrile/Vectorborne illnesses, acute respiratory infections, antimicrobial resistance, and enteric/diarrheal diseases, as well as wastewater-based biosurveillance of all these. MUWRP maintains a partnership with the Ugandan People’s Defence Forces to conduct FVBI and respiratory illness surveillance along the Congo border. This partnership also gives access to peacekeeping forces deploying and returning from across the Continent, most importantly to the AUSSOM mission in Somalia.

Sokoine University of Agriculture: WRAIR-Africa’s biosurveillance partner in Tanzania is led by Dr. Gerald Misinzo, professor of veterinary medicine. In FY26 the surveillance portfolio comprises respiratory illness reporting from civilian and military hospitals across Tanzania. Previous years also included surveillance of febrile illnesses and antimicrobial resistant infections.